Peptides suitable for use in antigen specific immunosuppressive therapy

ABSTRACT

This invention relates to peptides consisting of 16 to 55 amino acids, said peptides comprising at least one of the amino acid sequences LVCYYTSWS (SEQ ID NO:60), FLCTHIIYS (SEQ ID NO:61), IIYSFANIS (SEQ ID NO:62), LKTLLSVGG (SEQ ID NO:63), FIKSVPPFL (SEQ ID NO:64), FDGLDLAWL (SEQ ID NO:65), LYPGRRDKQ (SEQ ID NO:66), YDIAKISQH (SEQ ID NO:67), LDFISIMTY (SEQ ID NO:68), FISIMTYDF (SEQ ID NO:69), FRGQEDASP (SEQ ID NO:70), YAVGYMLRL (SEQ ID NO:71), MLRLGAPAS (SEQ ID NO:72), LAYYEICDF (SEQ ID NO:73), LRGATVHRT (SEQ ID NO:74), YLKDRQLAG (SEQ ID NO:75), LAGAMVWAL (SEQ ID NO:76), VWALDLDDF (SEQ ID NO:77) or LDLDDFQGS (SEQ ID NO:78). The peptides can be used in the treatment of T cell-mediated destruction of articular cartilage. Administration of pharmaceutical compositions based on these peptides can be used to induce systemic immunological tolerance to the autoantigens under attack of the autoreactive T-cells.

FIELD OF THE INVENTION

The invention relates to peptides and their use in treatment of chronic destruction of articular cartilage in autoimmune diseases, pharmaceutical compositions comprising said peptides, a diagnostic method for the detection of autoreactive T cells in a test sample and test kits to be used in said method.

BACKGROUND OF THE INVENTION

The immune system is established on a principle of discrimination between foreign antigens (non-self antigens) and autoantigens (self antigens, derived from the individuals own body) achieved by a build in tolerance against the autoantigens.

The immune system protects individuals against foreign antigens and responds to exposure to a foreign antigen by activating specific cells such as T- and B lymphocytes and producing soluble factors like interleukins, antibodies and complement factors. The antigen to which the immune system responds is degraded by the antigen presenting cells (APCs) and a fragment of the antigen is expressed on the cell surface associated with a major histocompatibility complex (MHC) class II glycoprotein. The MHC-glycoprotein-antigen-fragment complex is presented to a T cell which by virtue of its T cell receptor recognizes the antigen fragment conjointly with the MHC class II protein to which it is bound. The T cell becomes activated, i.e. proliferates and/or produces interleukines, resulting in the expansion of the activated lymphocytes directed to the antigen under attack (Grey et al., Sci. Am., 261:38-46, 1989).

Self antigens are also continuously processed and presented as antigen fragments by the MHC glycoproteins to T cells (Jardetsky et al., Nature 3:326-329, 1991). Self recognition thus is intrinsic to the immune system. Under normal circumstances the immune system is tolerant to self antigens and activation of the immune response by these self antigens is avoided.

When tolerance to self antigens is lost, the immune system becomes activated against one or more self antigens, resulting in the activation of autoreactive T cells and the production of autoantibodies. This phenomenon is referred to as autoimmunity. As the immune response in general is destructive, i.e. meant to destroy the invasive foreign antigen, autoimmune responses can cause destruction of the body's own tissue.

The contribution of T cells to autoimmune diseases has been established by several studies. In mice, experimental autoimmune encephalomyelitis (EAE) is mediated by a highly restricted group of T cells, linked by their specificity for a single epitope of myelin basic protein (MBP) complexed to an MHC class II molecule. In the Lewis rat, a species with high susceptibility to various autoimmune diseases, disease has been shown to be mediated by T cells.

In humans autoimmune diseases are also thought to be associated with the development of auto-aggressive T cells. A destructive autoimmune response has been implicated in various diseases such as rheumatoid arthritis (RA), in which the integrity of articular cartilage is destroyed by a chronic inflammatory process. The mere presence of cartilage appears necessary for sustaining the local inflammatory response: it has been shown that cartilage degradation is associated with the activity of cartilage-responsive autoreactive T cells in RA (Sigall et al., Clin. Exp. Rheumat. 6:59, 1988; Glant et al., Biochem. Soc. Trans. 18:796, 1990; Burmester et al., Rheumatoid arthritis Smolen, Kalden, Maini (Eds) Springer-Verlag Berlin Heidelberg, 1992). Furthermore, removal of cartilage from RA patients by surgery was shown to reduce the inflammatory process. The cartilage proteins are therefore considered to be target autoantigens which are competent of stimulating T cells. Activation of these autoreactive T cells leads to development of autoimmune disease. Hence it can be anticipated that functional elimination of these T cells could be beneficial in downregulation of the destructive autoimmune process. However, the identification of the autoantigenic components that play a role in the onset of rheumatoid arthritis has so far remained elusory.

The inflammatory response resulting in the destruction of the cartilage can be treated by various drugs. However, these drugs are immunosuppressive drugs that are nonspecific and have toxic side effects. The disadvantages of nonspecific immunosuppression makes this a highly unfavourable therapy.

Antigen-specific, nontoxic immunosuppression, such as for instance described in WO-A-9510301, provides a very attractive alternative for nonspecific immunosuppression. The antigen-specific therapy involves the treatment of patients with synthetic T cell-reactive peptides which resemble or mimic the epitopes present on the autoantigen. These peptides can therefore be used to induce systemic immunological tolerance, i.e. specific T cell tolerance, both to themselves and to the autoantigen. The induced systemic immunological tolerance is based on the long-observed phenomenon that animals which have been fed or have inhaled an antigen or epitope are less capable of developing a systemic immune response towards said antigen or epitope when said antigen or epitope is introduced via a systemic route. To effectively use the peptide-induced systemic tolerance therapy to treat the T cell mediated cartilage destruction, there is a great need for T cell-reactive peptides which can desensitize patients against the self antigen that is activating the T cells responsible for the inflammatory process.

SUMMARY OF THE INVENTION

It is an object of the invention to provide peptides which are able to induce systemic immunological tolerance, more in particular specific T cell tolerance, to the responsible cartilage antigen in patients suffering from T cell-mediated cartilage destruction. It is another object of the invention to provide a method for detecting autoreactive T cells involved in the destruction of articular cartilage and test kits to be used in said method.

DETAILED DESCRIPTION OF THE DRAWING

The present invention provides for such peptides.

In a first aspect of the invention there is provided for peptides consisting of 16 to 55 amino acid residues, said peptide comprising at least one of the amino acid sequences LVCYYTSWS (SEQ ID NO:60), FLCTHIIYS (SEQ ID NO:61), IIYSFANIS (SEQ ID NO:62), LKTLLSVGG (SEQ ID NO:63), FIKSVPPFL (SEQ ID NO:64), FDGLDLAWL (SEQ ID NO: 65), LYPGRRDKQ (SEQ ID NO:66), YDIAKISQH (SEQ ID NO:67), LDFISIMTY (SEQ ID NO:68), FISIMTYDF (SEQ ID NO:69), FRGQEDASP (SEQ ID NO:70), YAVGYMLRL (SEQ ID NO:71), MLRLGAPAS (SEQ ID NO:72), LAYYEICDF (SEQ ID NO:73), LRGATVHRT (SEQ ID NO:74), YLKDRQLAG (SEQ ID NO:75), LAGAMVWAL (SEQ ID NO:76), VWALDLDDF (SEQ ID NO:77) or LDLDDFQGS (SEQ ID NO:78).

In particular, the peptide according to the invention comprises at least one of the amino acid sequences YKLVCYYTSWSQYREG (SEQ ID NO:1), YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO:5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO:12), NTQSRRTFIKSVPPFL (SEQ ID NO:16), TFIKSVPPFLRTHGFD (SEQ ID NO:17), PPFLRTHGFDGLDLAW (SEQ ID NO:18), HGFDGLDLAWLYPGRR (SEQ ID NO:19), DLAWLYPGRRDKQHFT (SEQ ID NO:20), TIDSSYDIAKISQHLD (SEQ ID NO:28), DIAKISQHLDFISIMT (SEQ ID NO:29), QHLDFISIMTYDFHGA (SEQ ID NO:30), SPLFRGQEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), PASKLVMGIPTFGRSF (SEQ ID NO:39), GTLAYYEICDFLRGAT (SEQ ID NO:46), EICDFLRGATVHRTLG (SEQ ID NO:47), RGATVHRTLGQQVPYA (SEQ ID NO:48), VKSKVQYLKDRQLAGA (SEQ ID NO:53), YLKDRQLAGAMVWALD (SEQ ID NO:54), LAGAMVWALDLDDFQG (SEQ ID NO:55), WALDLDDFQGSFCGQD (SEQ ID NO:56) or DFQGSFCGQDLRFPLT (SEQ ID NO:57).

Preferably, the peptide according to the present invention comprises one of the amino acid sequences YKLVCYYTSWSQYREG (SEQ ID NO:1), YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO:5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO:12), QHLDFISIMTYDFHGA (SEQ ID NO:30), SPLFRGQEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

More preferably, the peptide according to the invention comprises one or more of the amino acid sequences YTSWSQYREGDGSCFP (SEQ ID NO:2), SPLFRGQEDASPDRFS (SEQ ID NO:34), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

The peptides according to the invention consist of 16 to 55, preferably 16 to 35, more preferably 16 to 25, most preferably 16 amino acid residues.

Highly prefered peptides according to the invention are hexadecapeptides consisting of the amino acid sequence YKLVCYYTSWSQYREG (SEQ ID NO:1) YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO:5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO:12), QHLDFISIMTYDFHGA (SEQ ID NO:30), SPLFRGQEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55), more in paricular the amino acid sequences YTSWSQYREGDGSCFP (SEQ ID NO:2), SPLFRGQEDASPDRFS (SEQ ID NO:34), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

Also within the scope of the invention are multimers of the peptides according to the invention such as for example a dimer or trimer of the peptides according to the invention. A multimer according to the invention can either be a homomer, consisting of a multitude of the same peptide, or a heteromer consisting of different peptides.

The characteristic amino acid sequences of the peptides according to the invention can be flanked by random amino acid sequences. Prefered are flanking sequences, that have a stabilizing effect on the peptides, thus increasing their biological availability.

The present invention is based on the unexpected discovery, that Human Cartilage glycoprotein 39 (herein after referred to as HC gp-39) is a target autoantigen in RA patients which activates specific T cells, thus causing or mediating the inflammatory process. HC gp-39 derived peptides were predominantly recognized by autoreactive T cells from RA patients but rarely by T cells from healthy donors, thus indicating that HC gp-39 is an autoantigen in RA. The arthritogenic nature of HC gp-39 was further substantiated in the Balb/c mouse. A single, subcutaneous injection of said protein in Balb/c mice was able to initiate arthritic signs in the animals. The course of the HC gp-39-induced disease was characterized by relapses occuring periodically in fore paws and/or hind paws and gradually developed from a mild arthritis into a more severe form. Also, a symmetrical distribution of afflicted joints was observed which is, together with the observation of recurrent relapses and nodule formation, reminiscent of disease progression in arthritis, especially RA.

Even more surprisingly it was found that administration of HC gp-39 resulted in immunological tolerance and, more importantly, in delayed and/or suppressed arthritic development.

The amino acid sequences given in SEQ ID NO's 60-78, more specifically the sequences given in SEQ ID NO's 1, 2, 5, 6, 12, 16-20, 28-30, 34, 37-39, 46-48, 53-57 resemble MHC class II restricted T cell epitopes which are present on HC gp-39. Thus, the peptides according to the invention can also be understood to encompass fragments of the autoantigen HC gp-39 which comprise one or more of the above identified MHC Class II restricted T-cell epitopes and they are also within the scope of the invention.

Although HC gp-39 was disclosed in Hakala et al., J. Biol. Chem., Vol.268, No. 34, 25803 (1993), in which it was described as a chitinase protein and suggested for use as a suitable marker for rheumatoid arthritis, any hint or suggestion towards the arthritogenic nature of HC gp-39 was absent.

The peptides according to the invention can be prepared by well known organic chemical methods for peptide synthesis such as, for example, solid-phase peptide synthesis described for instance in J. Amer. Chem. Soc. 85:2149 (1963) and Int. J. Peptide Protein Res. 35:161-214 (1990).

The peptides according to the invention can also be prepared by recombinant DNA techniques. A nucleic acid sequence coding for a peptide according to the invention or a multimer of said peptides is inserted into an expression vector. Suitable expression vectors are, amongst others, plasmids, cosmids, virusses and YAC's (Yeast Artificial Chromosomes) which comprise the necessary control regions for replication and expression. The expression vector can be brought to expression in a host cell. Suitable host cells are, for instance, bacteria, yeast cells and mammalian cells. Such techniques are well known in the art, see for instance Sambrooke et al, Molecular Cloning:a Laboratory Manual, Cold Spring Harbor laboratory Press, Cold Spring Harbor, 1989.

The peptides according to the invention are T-cell reactive peptides, which are recognized by and are able to stimulate activated, autoreactive T-cells. These autoreactive T cells are found in the blood of RA patients but rarely in healthy donors.

Thus, according to the invention the synthetic peptides, said peptides resembling the MHC Class II restricted T-cell epitopes present on the target autoantigen HC gp-39, are very suitable for use in a therapy to induce specific T-cell tolerance to HC gp-39 in mammals, more specifically humans, suffering from T-cell mediated cartilage destruction, such as for example arthritis, more specifically rheumatoid arthritis.

Although WO 95/01995 and WO 95/02188 describe the diagnostic use of HC gp-39 as a marker for RA, the arthritogenic nature of HC gp-39 is neither disclosed nor suggested. Nowhere do they hint or suggest towards the use of fragments of HC gp-39 or T-cell reactive peptides according to the present invention in the antigen or peptide specific therapy to induce T-cell specific tolerance to the HC gp-39 in the cartilage under attack.

According to the invention, patients suffering from T-cell mediated destruction of the articular cartilage can be treated with a therapeutical composition comprising one or more peptides according to the invention and a pharmaceutical acceptable carrier. Administration of the pharmaceutical composition according to the invention will induce systemic immunological tolerance, in particular tolerance of the specific autoreactive T cells of these patients, to the autoantigenic proteins in the articular cartilage under attack and other self antigens which display the identified MHC Class II binding T cell epitopes characterized or mimiced by the amino acid sequences of one or more of the peptides according to the invention. The induced tolerance thus will lead to a reduction of the local inflammatory response in the articular cartilage under attack.

Very suitable peptides to be used in a pharmaceutical composition according to the invention are the peptides having 16-55 preferably 16-35, more preferably 16-25, most preferably 16 amino acid residues, said peptides comprising at least one of the amino acid sequences LVCYYTSWS (SEQ ID NO:60), FLCTHIIYS (SEQ ID NO:61), IIYSFANIS (SEQ ID NO:62), LKTLLSVGG (SEQ ID NO:63), FIKSVPPFL (SEQ ID NO:64), FDGLDLAWL (SEQ ID NO: 65), LYPGRRDKQ (SEQ ID NO:66), YDIAKISQH (SEQ ID NO:67), LDFISIMTY (SEQ ID NO:68), FISIMTYDF (SEQ ID NO:69), FRGQEDASP (SEQ ID NO:70), YAVCYMLRL (SEQ ID NO:71), MLRLGAPAS (SEQ ID NO:72), LAYYEICDF (SEQ ID NO:73), LRGATVHRT (SEQ ID NO:74), YLKDRQLAG (SEQ ID NO:75, LAGAMVWAL (SEQ ID NO:76), VWALDLDDF (SEQ ID NO:77) or LDLDDFQGS (SEQ ID NO:78), more in particular one of the amino acid sequences YKLVCYYTSWSQYREG (SEQ ID NO:1) YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO: 5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO: 12), NTQSRRTFIKSVPPFL (SEQ ID NO:16), TFIKSVPPFLRTHGFD (SEQ ID NO:17), PPFLRTHGFDGLDLAW (SEQ ID NO:18), HGFDGLDLAWLYPGRR (SEQ ID NO:19), DLAWLYPGRRDKQHFT (SEQ ID NO:20), TIDSSYDIAKISQHLD (SEQ ID NO:28), DIAKISQHLDFISIMT (SEQ ID NO:29), QHLDFISIMTYDFHCGA (SEQ ID NO:30), SPLFRGOEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), PASKLVMGIPTFGRSF (SEQ ID NO:39), GTLAYYEICDFLRGAT (SEQ ID NO:46), EICDFLRGATVHRTLG (SEQ ID NO:47), RGATVHRTLGQQVPYA (SEQ ID NO:48), VKSKVQYLKDRQLAGA (SEQ ID NO:53), YLKDRQLAGAMVWALD (SEQ ID NO:54), LAGAMVWALDLDDFQG (SEQ ID NO:55), WALDLDDFQGSFCGQD (SEQ ID NO:56) or DFQGSFCGQDLRFPLT (SEQ ID NO:57).

Specifically preferred in a pharmaceutical composition according to the invention are the peptides having 16-55, preferably 16-35, more preferably 16-25, most preferably 16 amino acid residues, said peptides comprising at least one of the amino acid sequences YKLVCYYTSWSQYREG (SEQ ID NO:1), YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO:5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO:12), QHLDFISIMTYDFHGA (SEQ ID NO:30), SPLFRGQEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

Highly preferred in a pharmaceutical composition according to the invention are peptides having 16-55, preferably 16-35, more preferably 16-25, most preferably 16 amino acid residues, said peptides comprising at least one of the amino acid sequences YTSWSQYREGDGSCFP (SEQ ID NO:2), SPLFRGQEDASPDRFS (SEQ ID NO:34), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

Most preferred in a pharmaceutical composition according to the invention are hexadecapeptides consisting of the amino acid sequence YKLVCYYTSWSQYREG (SEQ ID NO:1) YTSWSQYREGDGSCFP (SEQ ID NO:2), LDRFLCTHIIYSFANI (SEQ ID NO:5), THIIYSFANISNDHID (SEQ ID NO:6), PNLKTLLSVGGWNFGS (SEQ ID NO:12), QHLDFISIMTYDFHGA (SEQ ID NO:30), SPLFRGQEDASPDRFS (SEQ ID NO:34), DYAVGYMLRLGAPASK (SEQ ID NO:37), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55), more in paricular the amino acid sequences YTSWSQYREGDGSCFP (SEQ ID NO:2), SPLFRGQEDASPDRFS (SEQ ID NO:34), MLRLGAPASKLVMGIP (SEQ ID NO:38), YLKDRQLAGAMVWALD (SEQ ID NO:54) or LAGAMVWALDLDDFQG (SEQ ID NO:55).

The peptides according to the invention have the advantage that they have a specific effect on the autoreactive T cells thus leaving the other components of the immune system intact as compared to the nonspecific suppressive effect of immunosuppressive drugs. Treatment with the peptides according to the invention will be safe and no toxic side effects will occur.

Systemic immunological tolerance can be attained by administering high or low doses of peptides according to the invention. The amount of peptide will depend on the route of administration, the time of administration, the age of the patient as well as general health conditions and diet.

In general, a dosage of 0.01 to 1000 μg of peptide per kg body weight, preferably 0.5 to 500 μg, more preferably 0.1 to 100 μg of peptide can be used.

Pharmaceutical acceptable carriers are well known to those skilled in the art and include, for example, sterile salin, lactose, sucrose, calcium phosphate, gelatin, dextrin, agar, pectin, peanut oil, olive oil, sesame oil and water. Other carriers may be, for example MHC class II molecules, if desired embedded in liposomes.

In addition the pharmaceutical composition according to the invention may comprise one or more adjuvants. Suitable adjuvants include, amongst others, aluminium hydroxide, aluminium phosphate, amphigen, tocophenols, monophosphenyl lipid A, muramyl dlpeptide and saponins such as Quill A. Preferably, the adjuvants to be used in the tolerance therapy according to the invention are mucosal adjuvants such as the cholera toxine B-subunit or carbomers, which bind to the mucosal epithelium. The amount of adjuvant depends on the nature of the adjuvant itself.

Furthermore the pharmaceutical composition according to the invention may comprise one or more stabilizers such as, for example, carbohydrates including sorbitol, mannitol, starch, sucrosedextrin and glucose, proteins such as albumin or casein, and buffers like alkaline phosphates.

Suitable administration routes are intramuscular injections, subcutaneous injections, intravenous injections or intraperitoneal injections, oral administration and nasal sprays.

The peptides according to the invention are also very suitable for use in a diagnostic method to detect the presence of activated autoreactive T cells involved in the chronic inflammation and destruction of the articular cartilage.

The diagnostic method according to the invention comprises the following steps:

a) isolation of the peripheral blood mononuclear cells (PBMC) from a blood sample of an individual,

b) culture said PBMC under suitable conditions,

c) incubation of said PBMC culture in the presence of one or more peptides according to the invention, and

d) detection of a response of T cells, for example a proliferative response, indicating the presence of activated autoreactive T cells in the individual.

The detection of a proliferative response of T cells can be detected by, for example, the incorporation of ³H-thymidine.

Also within the scope of the invention are test kits which comprise one or more peptides according to the invention. These test kits are suitable for use in a diagnostic method according to the invention.

The following examples are illustrative for the invention and should in no way be interpreted as limiting the scope of the invention.

EXAMPLES METHODS

Patients

This study included 7 DR4(DRB1*0401)-positive patients diagnosed as suffering from RA according to the ARA criteria (Arnett et al., (1988), Arthritis Rheum. 31, 315). Peripheral blood samples were obtained with informed consent. There were five women and two men aged 46-79 years. Their duration of disease ranged from over 10 to over 30 years. Three out of 7 patients had at least 3 swollen joints. Four patients did not show any signs of active disease. All patients were on medication: Four patients were treated with prednisone, three patients received anti-rheumatic agents and 4 patients were treated with NSAID's as well.

Peripheral blood samples from 5 healthy donors carrying the DR4(DRB1*0401) specificity were obtained with informed consent and included in this study as a control.

Definition of HLA-DR polymorphisms

Patient and healthy donor peripheral blood mononuclear cells (PBMC) isolated from heparinized peripheral blood by standard centrifugation on Ficoll-Paque were stimulated with PHA (Welcome, Dartford, UK) to obtain 5×10⁶−107 lymphocytes. The QIA amp blood kit (QIAGEN Inc,) was used to purify chromosomal DNA from cultured cells according to the manufacturers instructions. Chromosomal DNA extracts were analysed using a DR ‘low resolution’ SSP kit. DR4 subtyping was performed using the Dynal DRB1*04-SSP kit. MHC DR typing was performed at the Transplant Serology Laboratory, University Hospital, Nijmegen, The Netherlands.

TABLE 1 RA Patient stage synovitis duration HLA-DR 191 IV no >30 years 0401/01 259 III-IV yes >30 years 0401/16 262 III-IV yes >10 years 0401/0408 272 III-IV no >30 years 0401/0701 276 IV no >30 years 0401/14 286 IV no 20 years 0401/0408 287 III-IV yes 20 years 0401/13 HD HLA-DR 155 0401/14 157 0401/13 168 0401/07 230 0401/07 235 0401/13

Peptide synthesis

Peptides were synthesized at Eurosequence (Groningen, The Netherlands). Peptides were synthesized from the C-terminus to the N-terminus on a 10 μmol scale using solid-phase FMOC chemistry. The crude peptides were partly purified by several other preparations. As indicated by the manufacturer, at least 35% of the lyophilized oroduct contained the desired full length product. The rest contained salt and remaining solvent. The quality of the final product was checked by sequence analysis, amino acid analysis and/or RF-HPLC. The sequences of the peptides synthesized are enlisted in Table II.

TABLE II Amino acid sequences of the peptides used in this study. SEQ ID NO: residu peptide 1 22-37 YKLVCYYTSWSQYREG 2 28-43 YTSWSQYREGDGSCFP 3 34-49 YREGDGSCFPDALDRF 4 40-55 SCFPDALDRFLCTHII 5 46-61 LDRFLCTHIIYSFANI 6 52-67 THIIYSFANISNDHID 7 58-73 FANISNDHIDTWEWND 8 64-79 DHIDTWEWNDVTLYGM 9 70-85 EWNDVTLYGMLNTLKN 10 76-91 LYGMLNTLKNRNPNLK 11 82-97 TLKNRNPNLKTLLSVG 12  88-103 PNLKTLLSVGGWNFGS 13  94-109 LSVGGWNFGSQRFSKI 14 100-115 NFGSQRFSKIASNTQS 15 106-121 FSKIASNTQSRRTFIK 16 112-127 NTQSRRTFIKSVPPFL 17 118-133 TFIKSVPPFLRTHGFD 18 124-139 PPFLRTHGFDGLDLAW 19 130-145 HGFDGLDLAWLYPGRR 20 136-151 DLAWLYPGRRDKQHFT 21 142-157 PGRRDKQHFTTLIKEM 22 148-163 QHFTTLIKEMKAEFIK 23 154-169 IKEMKAEFIKEAQPGK 24 160-175 EFIKEAQPGKKQLLLS 25 166-181 QPGKKQLLLSAALSAG 26 172-187 LLLSAALSAGKVTIDS 27 178-193 LSAGKVTIDSSYDIAK 28 184-199 TIDSSYDIAKISQHLD 29 190-205 DIAKISQHLDFISIMT 30 196-211 QHLDFISIMTYDFHGA 31 202-217 SIMTYDFHGAWRGTTG 32 208-223 FHGAWRGTTGHHSPLF 33 214-229 GTTGHHSPLFRGQEDA 34 220-235 SPLFRGQEDASPDRFS 35 226-241 QEDASPDRFSNTDYAV 36 232-247 DRFSNTDYAVGYMLRL 37 238-253 DYAVGYMLRLGAPASK 38 244-259 MLRLGAPASKLVMGIP 39 250-265 PASKLVMGIPTFGRSF 40 256-271 MGIPTFGRSFTLASSE 41 262-277 GRSFTLASSETGVGAP 42 268-283 ASSETGVGAPISGPGI 43 274-289 VGAPISGPGIPGRFTK 44 280-295 GPGIPGRFTKEAGTLA 45 286-301 RFTKEAGTLAYYEICD 46 292-307 GTLAYYEICDFLRGAT 47 298-313 EICDFLRGATVHRTLG 48 304-319 RGATVHRTLGQQVPYA 49 310-325 RTLGQQVPYATKGNQW 50 316-331 VPYATKGNQWVGYDDQ 51 322-337 GNQWVGYDDQESVKSK 52 328-343 YDDQESVKSKVQYLKD 53 334-349 VKSKVQYLKDRQLAGA 54 340-355 YLKDRQLAGAMVWALD 55 346-361 LAGAMVWALDLDDFQG 56 352-377 WALDLDDFQGSFCGQD 57 358-373 DFQGSFCGQDLRFPLT 58 364-379 CGQDLRFPLTNAIKDA 59 368-383 LRFPLTNAIKDALAAT

Peptide HLA-DR binding assay

DR4 (DRB1*0401) and DR4 (DRB1*0404) molecules were purified from the homozygous EBV-transformed human B lymphoblastoid cell lines Huly138IC2 and BM92 using the mAb L243, directed against a monomorphic determinant on the DR-complex (Lampson, L. A. and R. Levy (1980), J. Immunol. 125:293-299).

The peptide binding studies were performed using a semi-quantitative competition binding assay (Joosten et al 1994, Int. Immunol. 6, 751). Briefly, purified HLA-DR molecules (30 nM DR4(DRB1*0401) or 15 nM DR4 (DRB1*0404) were incubated at pH5.0 with 50 nM biotinylated marker peptide (HA 309_(Y→F)) and a concentration range of competitor peptide in a final volume of 25 μl binding buffer (PBS containing 0.01% NaN₃, 0.05% NP-40, 5% DMSO, 1 mM AEBSF, 1 mM N-ethyl maleimide, 8 mM EDTA and 10 μM pepstatin A). After 44 hr of incubation at RT, HLA-DR-bound marker peptide was separated from free marker peptide using a 96 well vacuum dotblot apparatus (Hybri.dot, BRL) and a nitrocellulose membrane (Hybond ECL, Amersham, UK). The nitrocellulose filters were blocked with 0.5% DNA blocking reagent (Boehringer) in 0.1 M maleic acid, 150 mM NaCl, pH7.5. After 0.5-1 hr, the filters were washed in PBS, 0.05% Tween 20 (Sigma) and incubated with Streptavidin-HRPO (Southern Biotechnology) in a 1:10.000 dilution. Biotinylated peptides were detected by enhanced chemiluminescence using a Western Blot ECL kit (Amersham). Exposure of the preflashed films (Hyperfilm-ECL, Amersham) was for 10 min. The spots were analysed by scanning the films and using Image Quant/Excel software for analysis.

The affinity of a given peptide for binding DRB1*0401-encoded molecules was related to competition with the marker peptide. This relative binding affinity was defined as the peptide concentration at which the signal was reduced to 50%

Proliferative responses of blood mononuclear cells

In order to identify T-cell epitopes within HC gp-39, 59 peptides of 16 AA in length, overlapping by 10 AA were tested for their capacity to induce a proliferative response in PBMC from RA patients and healthy controls carrying the DR4 (DRB1*0401) specificity (Table 1). Table 2 enlists the sequences of the peptides tested.

PBMC obtained from heparinized venous peripheral blood were isolated by standard centrifugation on a Ficoll-Paque gradient. Cells were cultured in four-fold at a concentration of 1,5×10⁵ cells/well in medium supplemented with 10% heat-inactivated, autologous plasma, L-glutamine, 2-ME and antibiotics in flatbottomed microtiter plates. Cells were incubated in medium alone or in the presence of phytohaemagglutinin (PHA) (2.5 μg/ml) to assert cell viability, or in the presence of 10 or 100 μg/ml of the HC gp-39-derived peptides. In several cases, sets of 2 or 3 sequential peptides were tested due to limited PBMC numbers of individual donors. Cultures were incubated in a total volume of 210 μl for 7 days at 37° C. in a humidified atmosphere of 5% CO₂. Cultures were pulsed during the last 18 hours with 0.25 4 μCi ³H-thymidine ([³H]TdR). Cells were harvested on glassfiber filters and [³H]TdR incorporation was measured by gas scintillation (Packard Matrix 96 βcounter). Only peptides inducing a proliferative response at both 10 and 100 μg/ml were considered to contain a T-cell epitope. Responses were defined positive if stimulation index values (SI, antigen-specific counts per Smin (cpsm)/background cp5m) exceeded or equaled 2.

RESULTS

Identification of T-cell epitopes by proliferative responses of blood mononuclear cells

T-cell reactivity to HC gp-39-derived peptides was analyzed by measuring the PBMC proliferative response in DR4 (DRB1*0401)-positive RA patients and healthy donors. Proliferative responses were tested in autologous plasma. In Table IIIA and IIIB the results of 7 experiments are presented showing the responses of RA patients (Table IIIA) and the responses of healthy donors (Table IIIB) to 59 overlapping sequences derived from HC gp-39. Donors found to respond to both concentrations (100 and 10 μg/ml) of a peptide were ranked as responders and donors which did not respond to both concentrations tested were ranked as non-responders (NR).

Responses to the individual peptides 1, 2, 5, 6, 12, 15, 30, 34, 37, 38, 40, 41, 54 and 55 (the numbers respond to the respective SEQ ID NO of each peptide, for example, peptide 30 means: peptide having amino acid sequence of SEQ ID NO:30) were observed in one or more donors, thereby identifying these sequences as T-cell epitopes.

Interestingly, responses to peptides 2, 34, 38, 40, 54 and 55 were observed in RA patients only.

On the other hand, peptides 12 and 41 induced only responses in healthy donors (230, 235) thus far.

In addition, as can be seen in Table 3, responses were found to the following sets of: peptides 1/2, 1/2/3, 4/5/6, 5/6, 15/16, 17/18, 19/20, 28/29/30, 29/30, 37/38, 37/38/39, 39/40, 46/47/48, 53/54, 55/56 and 55/56/57. These results are in accordance with most of the results of the individual peptides mentioned above. Moreover, the responses against the sets of peptides define regions that contain additional T-cell epitopes, i.e. the regions covered by petides 16-20 (residu 112-151), 28-29 (residu 184-205), 38-40 (residu 244-271), 46-48 (residu 292-319) and 53-57 (334-373).

Six out of 7 DR4 (DRB1*0401)-positive RA patients responded to HC gp-39-derived peptides or sets of peptides and were therefore ranked as responders. In the healthy donor group (HD), 3 out of 5 donors were ranked as responders. In general, RA patients appeared to respond to many more HC gp-39 regions than healthy donors (healthy donor 230 being an exception) For example, PEMC from RA patient 272, which were tested against individual peptides, appeared to respond to a total of 11 peptides (1, 2, 5, 6, 30, 34, 37, 38, 40, 54 and 55). PBMC of the other patients (patient 287 being an exception) showed responses against sets of peptides overlapping these 11 sequences and identified some additonal regions containing T-cell epitopes (peptides 14-20 and 46-48).

PBMC derived from a healthy donor (230) further confirmed the presence of T-cell epitopes in peptides 1, 5, 6, 15, 30 and 37.

Overall, the peptides or sets of peptides most frequently recognized contain peptides 1/2, 5/6, 30, 37/38, 54/55).

Correlation of T-cell epitopes and DRB4 (DRB1*0401) binding

Peptides 1, 2, 5, 6, 12, 15, 30, 34, 37, 38, 40, 41, 54 and 55 were all found to stimulate peripheral blood derived T-cells. As acorrollary to this finding, all of these peptides were found to bind to DR4 (DRB1*0401) with relatively high affinity (except peptides 2 and 38 which bind with intermediate relative affinity). Peptides 3, 4, 16, 17, 18, 19, 20, 28, 29, 39, 46, 47, 48, 53, 56 and 57 were tested in sets rather than individualy. It is very likely that several of these peptides also contain relevant T-cell epitopes. In any case, these peptides all can bind DRB4 (DRB1*0401) with high to intermediate relative affinity (except for peptide 20 which binds with poor relative affinity).

TABLE IIIA Peptide-induced proliferative responses of PBMC from RA patients RA: 272 262 276 286 191 287 259 0401 peptide 0401 0401 0401 0401 0401 0401 0401 binding R R R R R NR R 1 pos +++ 2 pos pos pos pos pos + 3 + 4 + 5 pos pos +++ 6 pos pos pos +++ 7 8 9 10 11 12 13 14& 15& +++ 16 pos +++ 17 ++ 18 pos + 19 + 20 pos +/− 21 22 23 24 25 26 27 28 +++ 29 pos +++ 30 pos pos pos pos +++ 31 32 33 34 pos +++ 35 36 37 pos +++ 38 pos pos pos pos pos + 39 ++ 40& pos pos +++ 41& 42 43 44 45 46 +++ 47 pos +++ 48 + 49 50 51& 52& 53 +++ 54 pos pos pos +++ 55 pos +++ 56 pos pos +++ 57 ++ 58 59 BG 0.2 0.7 0.5 0.8 2.4 0.9 0.2

pos=positive responses to both 100 and 70 microgram/ml of peptide or sets of peptides (SI≧2 were regarded positive). Together the peptides (16 AA in length and overlapping by 10 AA) cover the complete mature sequence of mature HO gp-39 (residu 22-383). Peptides were synthesized at Eurosequence (Groningen, The Netherlands). RA=rheumatoid arthritis patient. 0401=donor carrying the RA-associated HLA-DRB1*0401 specificity. NR=non-responder. R=responder. BG=mean of background counts per 5 minutes×10⁻³ measured in wells without antigen. +++=high affinity binder (IC50<1 μM); ++=good affinity binder (1<IC50<10 μM); +=intermediate binder (10<IC50<100 μM); +/−=poor binder (100<IC50<1000 μM); −=non-binder (IC50 <1000 μM)

TABLE IIIB Peptide-induced proliferative responses of PBMC from healthy donors HD 155 157 168 230 235 0401 peptide 0401 0401 0401 0401 0401 binding R NR NR R R 1 pos +++ 2 3 4 5 pos +++ 6 pos +++ 7 8 9 10 11 12 pos +++ 13 14& 15& pos +++ 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 pos +++ 31 32 33 34 35 36 37 pos pos pos +++ 38 39 40 41 pos +++ 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 BG 4.2 10.4 2.2 3.6 3.5

pos=positive responses to both 100 and 10 microgram/ml of peptide or sets of peptides (SI≧2 were regarded positive). Together the peptides (16 AA in length and overlapping by 10 AA) cover the complete mature sequence of mature HC gp-39 (residu 22-383). Peptides were synthesized at Eurosequence (Groningen, The Netherlands). HD=healthy donor. 0401=donor carrying the RA-associated HLA-DRB1*0401 specificity. NR=non-responder. R=responder. BG=mean of background counts per 5 10 minutes×10³¹ ³ measured in wells without antigen. +++=high affinity binder (IC50<1 μM); ++=good affinity binder (1<IC50<10 μM); +=intermediate binder (10<IC50<100 μM); +/−=poor binder (100<IC50<1000 μM); −=non-binder (IC50>1000 μM)

ABBREVIATIONS

AEBSF: 4-(2-AminoEthyl)-BenzeneSulfonyl Fluoride

BB: binding buffer

BCA: Bicinchoninic Acid

BSA: bovine serum albumin

DMSO: Dimethyl Sulfoxide

ECL: Enhanced Chemiluminescence

EDTA: EthyleneDiamine Tetra Acetic acid

FACS: Fluorescence Activated Cell Sorter

HLA: Human Leukocyte Antigens

HPLC: High Pressure Liquid Chormatography

HRP: Horse Radish Peroxidase

MHC CLASS II: Major Histocompatibility Complex class II

NMR: Nuclear Magnetic Resonance

Nonidet P-40

PBS: Phosphate Buffered Saline

PVDF: Polyvinylidene difluoride

RA: Rheumatoid Arthritis

SDS-PAGE: Sodium DodecylSulfate Polyacrylamide Gel Electrophoresis

78 1 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 1 Tyr Lys Leu Val Cys Tyr Tyr Thr Ser Trp Ser Gln Tyr Arg Glu Gly 1 5 10 15 2 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 2 Tyr Thr Ser Trp Ser Gln Tyr Arg Glu Gly Asp Gly Ser Cys Phe Pro 1 5 10 15 3 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 3 Tyr Arg Glu Gly Asp Gly Ser Cys Phe Pro Asp Ala Leu Asp Arg Phe 1 5 10 15 4 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 4 Ser Cys Phe Pro Asp Ala Leu Asp Arg Phe Leu Cys Thr His Ile Ile 1 5 10 15 5 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 5 Leu Asp Arg Phe Leu Cys Thr His Ile Ile Tyr Ser Phe Ala Asn Ile 1 5 10 15 6 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 6 Thr His Ile Ile Tyr Ser Phe Ala Asn Ile Ser Asn Asp His Ile Asp 1 5 10 15 7 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 7 Phe Ala Asn Ile Ser Asn Asp His Ile Asp Thr Trp Glu Trp Asn Asp 1 5 10 15 8 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 8 Asp His Ile Asp Thr Trp Glu Trp Asn Asp Val Thr Leu Tyr Gly Met 1 5 10 15 9 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 9 Glu Trp Asn Asp Val Thr Leu Tyr Gly Met Leu Asn Thr Leu Lys Asn 1 5 10 15 10 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 10 Leu Tyr Gly Met Leu Asn Thr Leu Lys Asn Arg Asn Pro Asn Leu Lys 1 5 10 15 11 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 11 Thr Leu Lys Asn Arg Asn Pro Asn Leu Lys Thr Leu Leu Ser Val Gly 1 5 10 15 12 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 12 Pro Asn Leu Lys Thr Leu Leu Ser Val Gly Gly Trp Asn Phe Gly Ser 1 5 10 15 13 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 13 Leu Ser Val Gly Gly Trp Asn Phe Gly Ser Gln Arg Phe Ser Lys Ile 1 5 10 15 14 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 14 Asn Phe Gly Ser Gln Arg Phe Ser Lys Ile Ala Ser Asn Thr Gln Ser 1 5 10 15 15 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 15 Phe Ser Lys Ile Ala Ser Asn Thr Gln Ser Arg Arg Thr Phe Ile Lys 1 5 10 15 16 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 16 Asn Thr Gln Ser Arg Arg Thr Phe Ile Lys Ser Val Pro Pro Phe Leu 1 5 10 15 17 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 17 Thr Phe Ile Lys Ser Val Pro Pro Phe Leu Arg Thr His Gly Phe Asp 1 5 10 15 18 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 18 Pro Pro Phe Leu Arg Thr His Gly Phe Asp Gly Leu Asp Leu Ala Trp 1 5 10 15 19 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 19 His Gly Phe Asp Gly Leu Asp Leu Ala Trp Leu Tyr Pro Gly Arg Arg 1 5 10 15 20 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 20 Asp Leu Ala Trp Leu Tyr Pro Gly Arg Arg Asp Lys Gln His Phe Thr 1 5 10 15 21 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 21 Pro Gly Arg Arg Asp Lys Gln His Phe Thr Thr Leu Ile Lys Glu Met 1 5 10 15 22 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 22 Gln His Phe Thr Thr Leu Ile Lys Glu Met Lys Ala Glu Phe Ile Lys 1 5 10 15 23 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 23 Ile Lys Glu Met Lys Ala Glu Phe Ile Lys Glu Ala Gln Pro Gly Lys 1 5 10 15 24 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 24 Glu Phe Ile Lys Glu Ala Gln Pro Gly Lys Lys Gln Leu Leu Leu Ser 1 5 10 15 25 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 25 Gln Pro Gly Lys Lys Gln Leu Leu Leu Ser Ala Ala Leu Ser Ala Gly 1 5 10 15 26 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 26 Leu Leu Leu Ser Ala Ala Leu Ser Ala Gly Lys Val Thr Ile Asp Ser 1 5 10 15 27 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 27 Leu Ser Ala Gly Lys Val Thr Ile Asp Ser Ser Tyr Asp Ile Ala Lys 1 5 10 15 28 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 28 Thr Ile Asp Ser Ser Tyr Asp Ile Ala Lys Ile Ser Gln His Leu Asp 1 5 10 15 29 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 29 Asp Ile Ala Lys Ile Ser Gln His Leu Asp Phe Ile Ser Ile Met Thr 1 5 10 15 30 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 30 Gln His Leu Asp Phe Ile Ser Ile Met Thr Tyr Asp Phe His Gly Ala 1 5 10 15 31 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 31 Ser Ile Met Thr Tyr Asp Phe His Gly Ala Gln Arg Gly Thr Thr Gly 1 5 10 15 32 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 32 Phe His Gly Ala Trp Arg Gly Thr Thr Gly His His Ser Pro Leu Phe 1 5 10 15 33 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 33 Gly Thr Thr Gly His His Ser Pro Leu Phe Arg Gly Gln Glu Asp Ala 1 5 10 15 34 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 34 Ser Pro Leu Phe Arg Gly Gln Glu Asp Ala Ser Pro Asp Arg Phe Ser 1 5 10 15 35 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 35 Gln Glu Asp Ala Ser Pro Asp Arg Phe Ser Asn Thr Asp Tyr Ala Val 1 5 10 15 36 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 36 Asp Arg Phe Ser Asn Thr Asp Tyr Ala Val Gly Tyr Met Leu Arg Leu 1 5 10 15 37 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 37 Asp Tyr Ala Val Gly Tyr Met Leu Arg Leu Gly Ala Pro Ala Ser Lys 1 5 10 15 38 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 38 Met Leu Arg Leu Gly Ala Pro Ala Ser Lys Leu Val Met Gly Ile Pro 1 5 10 15 39 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 39 Pro Ala Ser Lys Leu Val Met Gly Ile Pro Thr Phe Gly Arg Ser Phe 1 5 10 15 40 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 40 Met Gly Ile Pro Thr Phe Gly Arg Ser Phe Thr Leu Ala Ser Ser Glu 1 5 10 15 41 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 41 Gly Arg Ser Phe Thr Leu Ala Ser Ser Glu Thr Gly Val Gly Ala Pro 1 5 10 15 42 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 42 Ala Ser Ser Glu Thr Gly Val Gly Ala Pro Ile Ser Gly Pro Gly Ile 1 5 10 15 43 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 43 Val Gly Ala Pro Ile Ser Gly Pro Gly Ile Pro Gly Arg Phe Thr Lys 1 5 10 15 44 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 44 Gly Pro Gly Ile Pro Gly Arg Phe Thr Lys Glu Ala Gly Thr Leu Ala 1 5 10 15 45 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 45 Arg Phe Thr Lys Glu Ala Gly Thr Leu Ala Tyr Tyr Glu Ile Cys Asp 1 5 10 15 46 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 46 Gly Thr Leu Ala Tyr Tyr Glu Ile Cys Asp Phe Leu Arg Gly Ala Thr 1 5 10 15 47 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 47 Glu Ile Cys Asp Phe Leu Arg Gly Ala Thr Val His Arg Thr Leu Gly 1 5 10 15 48 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 48 Arg Gly Ala Thr Val His Arg Thr Leu Gly Gln Gln Val Pro Tyr Ala 1 5 10 15 49 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 49 Arg Thr Leu Gly Gln Gln Val Pro Tyr Ala Thr Lys Gly Asn Gln Trp 1 5 10 15 50 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 50 Val Pro Tyr Ala Thr Lys Gly Asn Gln Trp Val Gly Tyr Asp Asp Gln 1 5 10 15 51 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 51 Gly Asn Gln Trp Val Gly Tyr Asp Asp Gln Glu Ser Val Lys Ser Lys 1 5 10 15 52 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 52 Tyr Asp Asp Gln Glu Ser Val Lys Ser Lys Val Gln Tyr Leu Lys Asp 1 5 10 15 53 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 53 Val Lys Ser Lys Val Gln Tyr Leu Lys Asp Arg Gln Leu Ala Gly Ala 1 5 10 15 54 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 54 Tyr Leu Lys Asp Arg Gln Leu Ala Gly Ala Met Val Trp Ala Leu Asp 1 5 10 15 55 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 55 Leu Ala Gly Ala Met Val Trp Ala Leu Asp Leu Asp Asp Phe Gln Gly 1 5 10 15 56 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 56 Trp Ala Leu Asp Leu Asp Asp Phe Gln Gly Ser Phe Cys Gly Gln Asp 1 5 10 15 57 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 57 Asp Phe Gln Gly Ser Phe Cys Gly Gln Asp Leu Arg Phe Pro Leu Thr 1 5 10 15 58 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 58 Cys Gly Gln Asp Leu Arg Phe Pro Leu Thr Asn Ala Ile Lys Asp Ala 1 5 10 15 59 16 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 59 Leu Arg Phe Pro Leu Thr Asn Ala Ile Lys Asp Ala Leu Ala Ala Thr 1 5 10 15 60 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 60 Leu Val Cys Tyr Tyr Thr Ser Trp Ser 1 5 61 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 61 Phe Leu Cys Thr His Ile Ile Tyr Ser 1 5 62 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 62 Ile Ile Tyr Ser Phe Ala Asn Ile Ser 1 5 63 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 63 Leu Lys Thr Leu Leu Ser Val Gly Gly 1 5 64 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 64 Phe Ile Lys Ser Val Pro Pro Phe Leu 1 5 65 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 65 Phe Asp Gly Leu Asp Leu Ala Trp Leu 1 5 66 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 66 Leu Tyr Pro Gly Arg Arg Asp Lys Gln 1 5 67 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 67 Tyr Asp Ile Ala Lys Ile Ser Gln His 1 5 68 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 68 Leu Asp Phe Ile Ser Ile Met Thr Tyr 1 5 69 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 69 Phe Ile Ser Ile Met Thr Tyr Asp Phe 1 5 70 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 70 Phe Arg Gly Gln Glu Asp Ala Ser Pro 1 5 71 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 71 Tyr Ala Val Gly Tyr Met Leu Arg Leu 1 5 72 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 72 Met Leu Arg Leu Gly Ala Pro Ala Ser 1 5 73 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 73 Leu Ala Tyr Tyr Glu Ile Cys Asp Phe 1 5 74 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 74 Leu Arg Gly Ala Thr Val His Arg Thr 1 5 75 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 75 Tyr Leu Lys Asp Arg Gln Leu Ala Gly 1 5 76 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 76 Leu Ala Gly Ala Met Val Trp Ala Leu 1 5 77 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 77 Val Trp Ala Leu Asp Leu Asp Asp Phe 1 5 78 9 PRT Artificial Sequence Description of Artificial Sequence DERIVED FROM SEQUENCE OF HUMAN CARTILAGE (HC) -39 PROTEIN 78 Leu Asp Leu Asp Asp Phe Gln Gly Ser 1 5 

What is claimed is:
 1. A peptide consisting of 16 to 55 amino acid residues wherein said peptide comprises an amino acid sequence selected from the group consisting of FIKSVPPFL (SEQ ID NO:64), LYPGRRDKQ (SEQ ID NO:66), YDIAKISQH (SEQ ID NO:67), LDFISIMTY (SEQ ID NO:68), FISIMTYDF (SEQ ID NO:69), FRGQEDASP (SEQ ID NO:70), YAVGYMLRL (SEQ ID NO:71), MLRLGAPAS (SEQ ID NO:72), LAYYEICDF (SEQ ID NO:73), LRGATVHRT (SEQ ID NO:74), YLKDRQLAG (SEQ ID NO:75), LAGAMVWAL (SEQ ID NO:76), VWALDLDDF (SEQ ID NO:77) and LDLDDFQGS (SEQ ID NO:78) wherein said peptide binds to an MHC class II glycoprotein.
 2. A pharmaceutical composition comprising one or more peptides wherein said one or more peptides consist of 16 to 55 amino acids which comprises an amino acid sequence selected from the group consisting of FIKSVPPFL (SEQ ID NO:66), YDIAKISQH (SEQ ID NO:67), LDFISIMTY (SEQ ID NO:68), FISIMTYDF (SEQ ID NO:69), FRGQEDASP (SEQ ID NO:70), YAVGYMLRL (SEQ ID NO:71), MLRLGAPAS (SEQ ID NO:72) LAYYEICDF (SEQ ID NO:73), LRGATVHRT (SEQ ID NO:74), YLKDRQLAG (SEQ ID NO:75), LAGAMVWAL (SEQ ID NO:76), VWALDLDDF (SEQ ID NO:77) or LDLDDFQGS (SEQ ID NO:78) wherein said one or more peptides bind to an MHC class II glycoprotein, and a pharmaceutically acceptable carrier. 